42758 J92OF SAN JOSlkttap ,Drive. BUILDING DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Tract No. 3428.._._ . Lot No. -----5------------- Plan #L-2-0 F--Z/
March 27;--.....- - 19..63.... Permit No.Ll .;. .a ..........
Date--- ---.........
Application is eby made for a per i4 +o build
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a._....1...._ztor T I es' ce h t dgarage_...-_.-----_------_. Building
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a+ ....78.5.2....Be.lkDrive................ Use Zone ...R
Occupancy --------,r......
+o be occupied only as Qns__Fall i3 Y--.-ro.sidence Parking Space ---------�-------
in accordance with la , Specifics ' a 80 fil a�ew/ik+h.
Estimated Value z000vemenh ... ... .-o... //, w_
It is hereby agr ed that the requirements of the San Jose Building an" d Zoning Ordinances and all other
laws applicable to the construction, location, and use of buildings within the City of Sen Jose, will be
complied with.
I certify that in the perfcrmance of the work for which this permit is issued I shall not employ any per-
son in any manner so as to vio to the workmen's compensation laws of Celifcrnia.
Owner AME G LD HOMES ..........Address2460 _Park Blvd. Palo Alto
- - - - ... .
contractor - same as above
ByAgenf . - ---------Address -------------------------—-
bert JhtMato --
Form 280-1
RECORD OF INSPECTION
Foundation
-------------�. Frame 45?-:�69'
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Stucco ------- -- -----------
------- ------------- --------�Finish .......